Organization
SETAREH DENTAL GROUP DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEPEHR SETAREH (PRESIDENT)
(310) 351-5153
Entity
Organization
Contact information
Practice address
919 W AVENUE J STE C, LANCASTER, CA 93534-3432
(661) 949-8288
Mailing address
2385 ROSCOMARE RD UNIT F17, LOS ANGELES, CA 90077-1840
(310) 351-5153
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54203
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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